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General NPI Number Information
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NPI Number | 1851285282
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Entity Type | Organization
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Legal Business Name | ROOTED IN YOU COMPANY
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Dates
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Enumeration Date | 06/09/2025
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Last Update Date | 06/10/2025
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Provider Practice Location Address
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Address Line | 479 STATE RT 17 STE 6 #3048
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City | MAHWAH
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State | NJ
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Zip | 07430
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Country | US
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Telephone | 201-983-3420
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Fax |
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Provider Business Mailing Address
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Address Line | 57 E 96TH ST APT 4B
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City | NEW YORK
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State | NY
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Zip | 10128-0818
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | AMANDA M STARCEV
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Credential | LCSW
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Telephone | 201-983-3420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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